{"id":32382,"date":"2023-05-07T16:51:32","date_gmt":"2023-05-07T09:51:32","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=32382"},"modified":"2023-05-07T16:51:32","modified_gmt":"2023-05-07T09:51:32","slug":"can-thiep-qua-duong-ong-thong-trong-benh-tim-bam-sinh","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/07\/can-thiep-qua-duong-ong-thong-trong-benh-tim-bam-sinh\/","title":{"rendered":"Can thi\u1ec7p qua \u0111\u01b0\u1eddng \u1ed1ng th\u00f4ng trong b\u1ec7nh tim b\u1ea9m sinh"},"content":{"rendered":"

Can thi\u1ec7p qua \u0111\u01b0\u1eddng \u1ed1ng th\u00f4ng (c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 can thi\u1ec7p qua \u0111\u01b0\u1eddng m\u1ea1ch m\u00e1u) \u0111\u00e3 tr\u1edf th\u00e0nh m\u1ed9t ph\u01b0\u01a1ng th\u1ee9c \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 cho c\u00e1c b\u1ec7nh l\u00fd tim b\u1ea9m sinh. Th\u1ee7 thu\u1eadt n\u00e0y s\u1eed d\u1ee5ng c\u00e1c k\u1ef9 thu\u1eadt h\u00ecnh \u1ea3nh y t\u1ebf \u0111\u1ec3 \u0111\u01b0a c\u00e1c c\u00f4ng c\u1ee5 v\u00e0 thi\u1ebft b\u1ecb th\u00f4ng qua c\u00e1c \u0111\u01b0\u1eddng m\u1ea1ch m\u00e1u \u0111\u1ebfn tr\u00e1i tim, m\u00e0 kh\u00f4ng c\u1ea7n ph\u1eabu thu\u1eadt m\u1edf ng\u1ef1c.<\/strong><\/p>\n

1. T\u1ed5ng quan<\/h2>\n

Can thi\u1ec7p qua \u0111\u01b0\u1eddng \u1ed1ng th\u00f4ng (c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 can thi\u1ec7p qua \u0111\u01b0\u1eddng m\u1ea1ch m\u00e1u) \u0111\u00e3 tr\u1edf th\u00e0nh m\u1ed9t ph\u01b0\u01a1ng th\u1ee9c \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 cho c\u00e1c b\u1ec7nh l\u00fd tim b\u1ea9m sinh.<\/p>\n

Can thi\u1ec7p qua \u0111\u01b0\u1eddng \u1ed1ng th\u00f4ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb nhi\u1ec1u lo\u1ea1i b\u1ec7nh tim b\u1ea9m sinh, bao g\u1ed3m c\u00e1c khuy\u1ebft t\u1eadt van tim, c\u00e1c b\u01b0\u1edbu tr\u00ean tim, c\u00e1c l\u1ed7 th\u00f4ng tim v\u00e0 c\u00e1c m\u1ea1ch m\u00e1u khu\u1ea5t. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u00f3 nhi\u1ec1u \u01b0u \u0111i\u1ec3m, bao g\u1ed3m th\u1eddi gian h\u1ed3i ph\u1ee5c nhanh h\u01a1n, \u00edt \u0111au \u0111\u1edbn v\u00e0 kh\u00f4ng \u0111\u1ec3 l\u1ea1i s\u1eb9o.<\/p>\n

\"Can<\/p>\n

Can thi\u1ec7p qua \u0111\u01b0\u1eddng \u1ed1ng th\u00f4ng trong b\u1ec7nh tim b\u1ea9m sinh<\/strong><\/p>\n

2. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p<\/h2>\n

2.1 Ph\u00e1 v\u00e1ch li\u00ean nh\u0129 (th\u1ee7 thu\u1eadt Rashkind):<\/strong><\/h3>\n

L\u00e0 can thi\u1ec7p c\u1ea5p c\u1ee9u <\/em><\/strong>nh\u1eb1m c\u1ee9u s\u1ed1ng tr\u1ebb s\u01a1 sinh b\u1ecb \u0111\u1ea3o g\u1ed1c \u0111\u1ed9ng m\u1ea1ch \u0111\u01a1n thu\u1ea7n <\/em>ho\u1eb7c t\u0129nh m\u1ea1ch ph\u1ed5i \u0111\u1ed5 l\u1ea1c ch\u1ed7 ho\u00e0n to\u00e0n <\/em>.<\/p>\n

Th\u1ee7 thu\u1eadt s\u1eed d\u1ee5ng b\u00f3ng qua \u0111\u01b0\u1eddng \u1ed1ng th\u00f4ng t\u1ea1o l\u1ed7 th\u1ee7ng <\/em>tr\u00ean v\u00e1ch li\u00ean nh\u0129 t\u1ea1o s\u1ef1 th\u00f4ng th\u01b0\u01a1ng gi\u1eefa hai t\u00e2m nh\u0129.<\/p>\n

Th\u1ee7 thu\u1eadt c\u00f3 th\u1ec3 ti\u1ebfn h\u00e0nh c\u1ea5p c\u1ee9u ngay t\u1ea1i gi\u01b0\u1eddng b\u1ec7nh <\/em>d\u01b0\u1edbi h\u01b0\u1edbng d\u0201n c\u1ee7a si\u00eau \u00e2m.<\/p>\n

2.2 Nong van \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i<\/h3>\n

Th\u1ee7 thu\u1eadt \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn \u1edf c\u00e1c b\u1ec7nh nh\u00e2n h\u1eb9p van \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i <\/em>m\u1ecdi l\u1ee9a tu\u1ed5i. K\u1ebft qu\u1ea3 c\u1ee7a th\u1ee7 thu\u1eadt k\u00e9m n\u1ebfu van lo\u1ea1n s\u1ea3n (h\u1ed9i ch\u1ee9ng Noonan).<\/p>\n

V\u00f2ng van \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i \u0111\u01b0\u1ee3c \u0111o tr\u00ean si\u00eau \u00e2m ho\u1eb7c tr\u00ean ch\u1ee5p m\u1ea1ch, ch\u1ecdn b\u00f3ng c\u00f3 k\u00edch th\u01b0\u1edbc \u0111\u01b0\u1eddng k\u00ednh kho\u1ea3ng 100 – 120% so v\u1edbi v\u00f2ng van \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i.<\/p>\n

\u0110\u00e2y l\u00e0 m\u1ed9t trong nh\u1eefng can thi\u1ec7p qua \u1ed1ng th\u00f4ng hi\u1ec7u qu\u1ea3 nh\u1ea5t.<\/p>\n

2.3 Nong van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7<\/h3>\n

Th\u1ee7 thu\u1eadt nong van \u0110M ch\u1ee7 ch\u1ec9 \u0111\u1ecbnh h\u1ea1n ch\u1ebf h\u01a1n so v\u1edbi nong van \u0110M ph\u1ed5i ,th\u01b0\u1eddng ch\u1ec9 \u0111\u1ecbnh \u1edf tr\u1ebb nh\u1ecf <\/em>, \u00edt ch\u1ec9 \u0111\u1ecbnh \u1edf ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh.<\/p>\n

Ch\u1ec9 \u0111\u1ecbnh : <\/em><\/strong>Khi van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 c\u00f2n m\u1ec1m m\u1ea1i v\u00e0 kh\u00f4ng b\u1ecb ca nxi h\u00f3a, nong van b\u1eb1ng b\u00f3ng \u0111\u1ec3 tr\u00ec ho\u00e3n ph\u0201u thu\u1eadt ho\u1eb7c \u0111\u1ec3 t\u1ea1o thu\u1eadn cho m\u1ed9t ph\u0201u thu\u1eadt ngo\u00e0i tim c\u1ea7n th\u1ef1c hi\u1ec7n c\u1ea5p c\u1ee9u .<\/p>\n

H\u1ea1n ch\u1ebf: <\/strong>Th\u01b0\u1eddng g\u00e2y h\u1edf ch\u1ee7.<\/p>\n

K\u00edch th\u01b0\u1edbc b\u00f3ng kh\u00f4ng n\u00ean v\u01b0\u1ee3t qu\u00e1 k\u00edch th\u01b0\u1edbc c\u1ee7a v\u00f2ng van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7.<\/p>\n

K\u1ef9 thu\u1eadt: <\/strong>K huy\u1ebfn c\u00e1o nong van \u0110M ch\u1ee7 xu\u00f4i d\u00f2ng (\u0111\u01b0\u1eddng v\u00e0o tim ph\u1ea3i qua v\u00e1ch li\u00ean nh\u0129 sang tim tr\u00e1i l \u00ean \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 ) l\u00e0m gi\u1ea3m bi\u1ebfn ch\u1ee9ng t\u1ed5n th\u01b0\u01a1ng van , v\u00e0 \u0111\u01b0\u1eddng v\u00e0o \u0111\u1ed9ng m\u1ea1ch.<\/p>\n

2.4 B\u00edt th\u00f4ng li\u00ean nh\u0129 b\u1eb1ng d\u1ee5ng c\u1ee5<\/h3>\n

H\u1ea7u h\u1ebft c\u00e1c l\u1ed7 th\u00f4ng li\u00ean nh\u0129 ki\u1ec3u l\u1ed7 th\u1ee9 hai <\/em>c\u00f3 gi\u1ea3i ph\u0201u th\u00edch h\u1ee3p cho ch\u1ec9 \u0111\u1ecbnh \u0111\u00f3ng l\u1ed7 th\u00f4ng b\u1eb1ng d\u1ee5ng c\u1ee5 qua \u0111\u01b0\u1eddng \u1ed1ng th\u00f4ng. D\u1ee5ng c\u1ee5 \u0111\u00f3ng l\u1ed7 th\u00f4ng Amplatzer, Cocoon, Occlutech \u0111\u01b0\u1ee3c l\u00e0m t\u1eeb Nitinol c\u00f3 th\u1ec3 nh\u1edb h\u00ecnh v\u00e0 bao g\u1ed3m hai c\u00e1nh d\u00f9 g\u1eafn qua eo trung t\u00e2m.<\/p>\n

X\u00e1c \u0111\u1ecbnh k\u00edch th\u01b0\u1edbc l\u1ed7 th\u00f4ng tr\u01b0\u1edbc th\u1ee7 thu\u1eadt b\u1eb1ng si\u00eau \u00e2m tim qua th\u1ef1c qu\u1ea3n ; l\u1ef1a ch\u1ecdn k\u00edch th\u01b0\u1edbc d\u1ee5ng c\u1ee5 d\u1ef1a v\u00e0o k\u00edch th\u01b0\u1edbc l\u1ed7 th\u00f4ng khi nong b\u00f3ng d\u01b0\u1edbi h\u01b0\u1edbng d\u0201n c\u1ee7a si\u00eau \u00e2m qua th\u1ef1c qu\u1ea3n ho\u1eb7c soi d\u01b0\u1edbi m\u00e0n t\u0103ng s\u00e1ng trong th\u1ee7 thu\u1eadt.<\/p>\n

Thu\u1ed1c ch\u1ed1ng k\u1ebft t\u1eadp ti\u1ec3u c\u1ea7u \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong 6 th\u00e1ng sau th\u1ee7 thu\u1eadt cho \u0111\u1ebfn khi d\u1ee5ng c\u1ee5 \u0111\u00e3 \u0111\u01b0\u1ee3c n\u1ed9i m\u1ea1c h\u00f3a.<\/p>\n

\u0110au \u0111\u1ea7u tho\u00e1ng qua c\u00f3 th\u1ec3 g\u1eb7p trong tu\u1ea7n \u0111\u1ea7u sau can thi\u1ec7p nh\u01b0ng th \u01b0\u1eddng kh\u00f4ng nghi\u00eam tr\u1ecdng<\/p>\n

Nh\u1eefng bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m (\u00edt x\u1ea3y ra): N h\u1ed3i m\u00e1u n\u00e3o tho\u00e1ng qua, r\u1ed1i lo\u1ea1n nh\u1ecbp nh\u0129 (m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p r\u1ed1i lo\u1ea1n nh\u1ecbp nh\u0129 dai d\u1eb3ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb), huy\u1ebft kh\u1ed1i trong d\u1ee5ng c\u1ee5, h\u1edf c\u00e1c van nh\u0129 – th\u1ea5t do k\u00edch th\u01b0\u1edbc d\u1ee5ng c\u1ee5 kh\u00f4ng ph\u00f9 h\u1ee3p, r\u00f2 \u0110M ch\u1ee7 do d\u1ee5ng c\u1ee5 \u0111\u00e8 \u00e9p l\u00e2u ng\u00e0y v\u00e0o th\u00e0nh \u0110M ch\u1ee7 (bi\u1ebfn ch\u1ee9ng mu\u1ed9n, r\u1ea5t hi\u1ebfm g\u1eb7p) , r\u01a1i , di l\u1ec7ch d\u1ee5ng c\u1ee5 …<\/p>\n

2.5 B\u00edt th\u00f4ng li\u00ean th\u1ea5t b\u1eb1ng d\u1ee5ng c\u1ee5<\/h3>\n

Ch\u1ec9 \u0111\u1ecbnh b\u00edt TLT \u1edf ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh \u1edf c\u00e1c n\u01b0\u1edbc ph\u00e1t tri\u1ec3n kh\u00f4ng ph\u1ed5 bi\u1ebfn, ch\u1ee7 y\u1ebfu \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n g\u1eb7p bi\u1ebfn ch\u1ee9ng th\u1ee7ng v\u00e1ch li\u00ean th\u1ea5t sau nh\u1ed3i m\u00e1u c\u01a1 tim. \u0110\u00f4i khi ch\u1ec9 \u0111\u1ecbnh trong tr\u01b0\u1eddng h\u1ee3p l\u1ed7 th\u00f4ng nh\u1ecf nh\u01b0ng g\u00e2y qu\u00e1 t\u1ea3i th\u1ec3 t\u00edch th\u1ea5t tr\u00e1i theo th\u1eddi gian.<\/p>\n

T\u1ea1i c\u00e1c n\u01b0\u1edbc \u0111ang ph\u00e1t tri\u1ec3n trong \u0111\u00f3 c\u00f3 Vi\u1ec7t Nam, do ph\u00e1t hi\u1ec7n b\u1ec7nh mu\u1ed9n, v\u0201n c\u00f2n m\u1ed9t t\u1ef7 l\u1ec7 b\u1ec7nh nh\u00e2n TLT ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh \u0111\u01b0\u1ee3c b\u00edt TLT b\u1eb1ng d\u1ee5ng c\u1ee5.<\/p>\n

Th\u1ee7 thu\u1eadt b\u00edt TLT ch\u1ec9 n\u00ean \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh t\u1ea1i c\u00e1c trung t\u00e2m chuy\u00ean khoa do c\u00e1c chuy\u00ean gia nhi\u1ec1u kinh nghi\u1ec7m th\u1ef1c hi\u1ec7n.<\/p>\n

Bi\u1ebfn ch\u1ee9ng: <\/strong>Block nh\u0129 – th\u1ea5t ho\u00e0n to\u00e0n, huy\u1ebft kh\u1ed1i trong d\u1ee5ng c\u1ee5, h\u1edf van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 ti\u1ebfn tri\u1ec3n do d\u1ee5ng c\u1ee5 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn van \u0110M ch\u1ee7 …<\/p>\n

2.6 Nong, \u0111\u1eb7t stent eo \u0111\u1ed9ng m\u1ea1ch ch\u1ee7<\/h3>\n

Hi\u1ec7n nay, b\u1ec7nh nh\u00e2n h\u1eb9p eo \u0110M ch\u1ee7 b\u1ea9m sinh ho\u1eb7c t\u00e1i h\u1eb9p eo \u0110M ch\u1ee7 \u0111\u1ec1u c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng b\u1eb1ng nong b\u00f3ng qua da v\u00e0 \u0111\u1eb7t stent. V\u00ec v\u1eady c\u00f3 th\u1ec3 l\u1ef1a ch\u1ecdn ch\u1ec9 \u0111\u1ecbnh \u01b0u ti\u00ean do ph\u0201u thu\u1eadt s\u1eeda ch\u1eefa cho b\u1ec7nh nh\u00e2n tu\u1ed5i tr\u01b0\u1edfng th\u00e0nh c\u00f3 nhi\u1ec1u kh\u00f3 kh\u0103n, nguy c\u01a1 li\u1ec7t.<\/p>\n

Cover stent <\/strong>c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng cho b\u1ec7nh nh\u00e2n h\u1eb9p eo \u0110M ch\u1ee7 b\u1ea9m sinh \u0111\u1ec3 gi\u1ea3m bi\u1ebfn ch\u1ee9ng v\u1ee1 v\u00e0 t\u00e1ch th\u00e0nh \u0111\u1ed9ng m\u1ea1ch (th\u00e0nh \u0110M ch\u1ee7 \u1edf BN c\u00f3 b\u1ec7nh l\u00fd \u0110M ch\u1ee7 x\u01a1 ho\u00e1 v\u00e0 k\u00e9m \u0111\u00e0n h\u1ed3i, d\u1ec5 b\u1ecb t\u1ed5n th\u01b0\u01a1ng)<\/p>\n

MRI c\u00f3 gi\u00e1 tr\u1ecb trong l\u1ef1a ch\u1ecdn BN v\u00e0 l\u1ef1a ch\u1ecdn k\u00edch th\u01b0\u1edbc stent.<\/p>\n

Can thi\u1ec7p ch\u1ec9 n\u00ean th\u1ef1c hi\u1ec7n \u1edf nh\u1eefng trung t\u00e2m chuy\u00ean khoa v\u00e0 c\u00f3 s\u1ef1 tr\u1ee3 gi\u00fap c\u1ee7a ph\u0201u thu\u1eadt khi c\u1ea7n (L\u01b0u \u00fd: N guy c\u01a1 v\u1ee1 \u0110M ch\u1ee7 cao h\u01a1n khi nong b\u00f3ng cho b\u1ec7nh nh\u00e2n \u0111\u00e3 t\u1eebng \u0111\u01b0\u1ee3c ph\u0201u thu\u1eadt m\u1edf r\u1ed9ng eo \u0110M ch\u1ee7 b\u1eb1ng mi\u1ebfng v\u00e1 nh\u00e2n t\u1ea1o).<\/p>\n

C\u1ea7n theo d\u00f5i l\u00e2u d\u00e0i ph\u00e1t hi\u1ec7n gi\u1ea3 ph\u00ecnh th\u00e0nh \u0110M ch\u1ee7 .<\/p>\n

2.7 B\u00edt \u1ed1ng \u0111\u1ed9ng m\u1ea1ch b\u1eb1ng d\u1ee5ng c\u1ee5<\/h3>\n

B\u1ec7nh nh\u00e2n c\u00f2n \u1ed1ng \u0111\u1ed9ng m\u1ea1ch \u0111\u00f4i khi bi\u1ec3u hi\u1ec7n tri\u1ec7u ch\u1ee9ng mu\u1ed9n \u1edf tu\u1ed5i tr\u01b0\u1edfng th\u00e0nh.<\/p>\n

C\u00e1c \u1ed1ng \u0111\u1ed9ng m\u1ea1ch k\u00edch th\u01b0\u1edbc nh\u1ecf \u0111\u1ebfn v\u1eeba ch\u01b0a g\u00e2y t\u0103ng \u00e1p \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i c\u1ed1 \u0111\u1ecbnh h\u1ea7u h\u1ebft \u0111\u1ec1u \u0111\u01b0\u1ee3c b\u00edt th\u00e0nh c\u00f4ng b\u1eb1ng d \u1ee5ng c\u1ee5 d\u00f9 ( Amplatzer, Cocoon..) ho\u1eb7c coils qua \u0111\u01b0\u1eddng \u1ed1ng th\u00f4ng.<\/p>\n

3. K\u1ebft lu\u1eadn<\/h2>\n

Can thi\u1ec7p qua \u0111\u01b0\u1eddng \u1ed1ng th\u00f4ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb nhi\u1ec1u lo\u1ea1i b\u1ec7nh tim b\u1ea9m sinh, bao g\u1ed3m c\u00e1c khuy\u1ebft t\u1eadt van tim, c\u00e1c b\u01b0\u1edbu tr\u00ean tim, c\u00e1c l\u1ed7 th\u00f4ng tim v\u00e0 c\u00e1c m\u1ea1ch m\u00e1u khu\u1ea5t. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u00f3 nhi\u1ec1u \u01b0u \u0111i\u1ec3m, bao g\u1ed3m th\u1eddi gian h\u1ed3i ph\u1ee5c nhanh h\u01a1n, \u00edt \u0111au \u0111\u1edbn v\u00e0 kh\u00f4ng \u0111\u1ec3 l\u1ea1i s\u1eb9o.<\/p>\n

Tuy nhi\u00ean, can thi\u1ec7p qua \u0111\u01b0\u1eddng \u1ed1ng th\u00f4ng c\u0169ng c\u00f3 m\u1ed9t s\u1ed1 r\u1ee7i ro nh\u01b0 nhi\u1ec5m tr\u00f9ng, ch\u1ea3y m\u00e1u ho\u1eb7c c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn vi\u1ec7c \u0111\u01b0a c\u00e1c c\u00f4ng c\u1ee5 qua \u0111\u01b0\u1eddng m\u1ea1ch m\u00e1u. T\u1ea5t c\u1ea3 nh\u1eefng \u0111i\u1ec1u n\u00e0y c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 c\u1ea9n th\u1eadn tr\u01b0\u1edbc khi quy\u1ebft \u0111\u1ecbnh s\u1eed d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh tim b\u1ea9m sinh.<\/p>\n","protected":false},"excerpt":{"rendered":"

Can thi\u1ec7p qua \u0111\u01b0\u1eddng \u1ed1ng th\u00f4ng (c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 can thi\u1ec7p qua \u0111\u01b0\u1eddng m\u1ea1ch m\u00e1u) \u0111\u00e3 tr\u1edf th\u00e0nh m\u1ed9t ph\u01b0\u01a1ng th\u1ee9c \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 cho c\u00e1c b\u1ec7nh l\u00fd tim b\u1ea9m sinh. Th\u1ee7 thu\u1eadt n\u00e0y s\u1eed d\u1ee5ng c\u00e1c k\u1ef9 thu\u1eadt h\u00ecnh \u1ea3nh y t\u1ebf \u0111\u1ec3 \u0111\u01b0a c\u00e1c c\u00f4ng c\u1ee5 v\u00e0 thi\u1ebft b\u1ecb th\u00f4ng qua […]<\/p>\n","protected":false},"author":7,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7,33],"tags":[],"yoast_head":"\nCan thi\u1ec7p qua \u0111\u01b0\u1eddng \u1ed1ng th\u00f4ng trong b\u1ec7nh tim b\u1ea9m sinh - Vinmec<\/title>\n<meta name=\"description\" content=\"Can thi\u1ec7p qua \u0111\u01b0\u1eddng \u1ed1ng th\u00f4ng tr\u1edf th\u00e0nh m\u1ed9t ph\u01b0\u01a1ng th\u1ee9c \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd tim b\u1ea9m sinh, bao g\u1ed3m c\u00e1c khuy\u1ebft t\u1eadt van tim, c\u00e1c l\u1ed7 th\u00f4ng tim.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Can thi\u1ec7p qua \u0111\u01b0\u1eddng \u1ed1ng th\u00f4ng trong b\u1ec7nh tim b\u1ea9m sinh - 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